Hypoxic cardiomyocyte-derived exosomes regulate cardiac fibroblast activation, apoptosis, migration and ferroptosis

Ying Guo1, Zi-Dong Bie, Xi Li

  • 1Department of Cardiology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China.

Insights

Hypoxic cardiomyocyte-derived exosomes carrying miR-208a/b promote cardiac fibroblast (CF) viability, migration, and collagen production. These exosomes also influence ferroptosis, highlighting a novel communication pathway in myocardial disease.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Cell Biology

Background:

  • Cardiomyocytes and cardiac fibroblasts (CFs) interact via exosomes, influencing myocardial function.
  • Exosomes from myocardial diseases often contain elevated miR-208a/b, microRNAs specific to the heart.
  • The precise mechanisms of exosome-mediated intercellular communication in cardiac conditions remain under investigation.

Purpose of the Study:

  • To investigate the role of miR-208a/b in exosomes derived from hypoxic cardiomyocytes (H-Exo).
  • To elucidate the effects of H-Exo on cardiac fibroblast biological functions, including viability, migration, and extracellular matrix production.
  • To determine the impact of H-Exo on ferroptosis in cardiac fibroblasts.

Main Methods:

  • Cardiomyocytes were subjected to hypoxia to induce exosome secretion (H-Exo).
  • H-Exo were co-cultured with cardiac fibroblasts (CFs) to assess exosome uptake and functional changes.
  • miR-208a/b inhibitors were used to block specific microRNA functions.
  • Cell viability, migration assays, α-SMA, collagen I/III expression, apoptosis, caspase-3 activity, and ferroptosis markers (ROS, MDA, Fe2+, GPX4) were analyzed.

Main Results:

  • CFs internalized H-Exo, leading to increased miR-208a/b expression.
  • H-Exo significantly enhanced CF viability, migration, α-SMA, collagen I/III expression, and secretion.
  • Inhibition of miR-208a/b attenuated H-Exo-induced effects on CFs and reversed H-Exo's anti-apoptotic action.
  • H-Exo exacerbated ferroptosis in CFs, indicated by increased ROS, MDA, Fe2+, and decreased GPX4, an effect partially reversed by miR-208a/b inhibitors.

Conclusions:

  • Hypoxic cardiomyocyte-derived exosomes regulate cardiac fibroblast biological functions via miR-208a/b.
  • miR-208a/b within H-Exo promote fibroblast activation and collagen production.
  • H-Exo influences cardiac fibroblast ferroptosis, suggesting a role in myocardial remodeling and disease progression.